Price-based measures to reduce alcohol consumption Andrew Leicester (with Rachel Griffith and Martin O’Connell) Health Economics Research Unit, University of Aberdeen 12th March 2013 © Institute for Fiscal Studies Introduction • Governments long been concerned about excess alcohol intake • Excise taxes have been main price-based intervention to date – annual real-terms increases since 2008, planned to 2014 • Recent consideration of alternative policies: 1. Minimum unit price (MUP) – floor price based on alcohol content – 1 unit = 10ml alcohol 2. Banning quantity-based alcohol promotions – prohibit multi-buy deals, discounts on multi-packs © Institute for Fiscal Studies Current analysis: preliminary findings • We compare the effectiveness of different price-based policies: – MUP of 45p – quantity discount ban – reformed excise tax system targeting alcohol strength • We use detailed longitudinal household off-trade purchase data • Make simple assumptions about behavioural responses and ask: – are policies well-targeted on ‘problem’ drinkers? – what are the implications for spending, tax revenue, firm revenue? • Our results so far suggest that: – tax reform would be better-targeted than MUP – tax reform also raises revenue for government, not industry – quantity discount bans are very poorly-targeted © Institute for Fiscal Studies Outline structure • Background – data on alcohol intake, prices and affordability – brief recap on economic rationale for different reforms • Methods – dataset for analysis – descriptive figures for off-trade alcohol purchasing behaviour – description of policy reforms analysed – assumptions about demand- and supply-side responses • Results – descriptive analysis of quantity discount ban – comparative analysis of effect of MUP and excise tax reform • Conclusions, limitations and future plans © Institute for Fiscal Studies Outline structure • Background – data on alcohol intake, prices and affordability – brief recap on economic rationale for different reforms • Methods – dataset for analysis – descriptive evidence on alcohol purchasing behaviour – description of policy reforms analysed – assumptions about demand- and supply-side responses • Results – descriptive analysis of quantity discount ban – comparative analysis of effect of MUP and excise tax reform • Conclusions, limitations and future plans © Institute for Fiscal Studies Intake trend differs in UK from near-neighbours Average intake of alcohol (litres per adult), 1970 to 2010 UK 20 France 15 Germany 10 Italy 5 Spain Source: OECD Health Statistics 2012 © Institute for Fiscal Studies 2010 2006 2002 1998 1994 1990 1986 1982 1978 1974 0 1970 Annual alcohol intake (litres p.c.) 25 Real alcohol price flat, but on/off differential Relative alcohol price indices,1990 to 2012 Beer (on) 130 120 Beer (off) 110 100 Wine & spirits (on) 90 80 Source: Calculated from ONS Retail Prices Index data © Institute for Fiscal Studies 2012 2010 2008 2006 2004 2002 2000 1998 1996 All alcohol 1994 60 1992 70 Wine & spirits (off) 1990 Real index (Jan 1990=100) 140 Alcohol affordability has recently fallen back 130 125 120 115 110 105 100 95 90 85 80 Earnings Price Source: Calculated from ONS Retail Prices Index data and average earnings data. Note: average earnings and affordability indices are 12-month moving averages. © Institute for Fiscal Studies 2012 2010 2008 2006 2004 2002 2000 1998 1996 1994 1992 Affordability 1990 Real index (Jan 1990=100) Real alcohol prices and real incomes, 1990 to 2012 Outline structure • Background – data on alcohol intake, prices and affordability – brief recap on economic rationale for different reforms • Methods – dataset for analysis – descriptive evidence on alcohol purchasing behaviour – description of policy reforms analysed – assumptions about demand- and supply-side responses • Results – descriptive analysis of quantity discount ban – comparative analysis of effect of MUP and excise tax reform • Conclusions, limitations and future plans © Institute for Fiscal Studies Rationale for price-based intervention • Excess alcohol intake generates external costs – crime, anti-social behaviour, family problems – public costs of treating health harms, productivity spillovers – time inconsistency could generate externalities for future self • Effective interventions depend on: – targeting ‘problem’ drinking: price according to marginal externality • varies across drinkers and drinks • may not be able to target high cost consumption directly – response to price changes • does demand for high cost units fall as price rises? • how do firms respond to intervention? • Optimal policy needs to trade-off benefits from reducing problem consumption against costs of reducing low-cost consumption © Institute for Fiscal Studies Our analysis • We explore whether policies effectively target heavy drinkers – average weekly intake above recommended levels – drinking small amounts unlikely to generate external costs • Other drinking habits may also be of policy concern – binge drinking, under-age drinking – we do not have data on this specifically but interesting to explore • Different reforms effectively targeted if heavy drinkers tend to: – buy cheap alcohol (minimum pricing) – buy strong alcohol (tax reform) assess with data – buy in bulk (quantity discount ban) • We do not directly estimate price responsiveness to policy – assume values drawing on literature © Institute for Fiscal Studies Outline structure • Background – data on alcohol intake, prices and affordability – brief recap on economic rationale for different reforms • Methods – dataset for analysis – descriptive evidence on alcohol purchasing behaviour – description of policy reforms analysed – assumptions about demand- and supply-side responses • Results – descriptive analysis of quantity discount ban – comparative analysis of effect of MUP and excise tax reform • Conclusions, limitations and future plans © Institute for Fiscal Studies Data • Market research in home scanner data from Kantar Worldpanel – GB household-level panel, sample size c. 25,000 – households can drop out at any time, mean duration c. 2 years – demographics recorded at sign up, update approx. every 9 months • Records each item purchased on each trip at barcode level – price matched in from till receipts, includes deal information – calculate ABV % from data, online sources and ONS – use HMRC data to match in excise tax levied on each purchase • Use 52 weeks from Nov 2009 to Oct 2010 – select sample of households who report spending consistently – 21,542 hhs (median: 301 day duration), 522,125 alcohol purchases • Calculate units purchased per adult per week for each household © Institute for Fiscal Studies Data • Data weighted so that observed spending in sample matches total off-trade spending from ONS National Accounts – lines up well with tax and quantity data from HMRC by alcohol type • Key strengths – long observation period: purchases should approximate intake – large sample size – detailed purchase and price information • Key weaknesses – no on-trade purchases – household-level not individual-level data – purchase not consumption (cannot measure e.g. bingeing) © Institute for Fiscal Studies Outline structure • Background – data on alcohol intake, prices and affordability – brief recap on economic rationale for different reforms • Methods – dataset for analysis – descriptive evidence on alcohol purchasing behaviour – description of policy reforms analysed – assumptions about demand- and supply-side responses • Results – descriptive analysis of quantity discount ban – comparative analysis of effect of MUP and excise tax reform • Conclusions, limitations and future plans © Institute for Fiscal Studies Alcohol purchase behaviour by intake level Grouped by average off-trade units per adult per week N % Litres of drink per adult/week ≤7 16,427 76% 0.2 10.5% 45.4 17.0% >7, ≤14 2,586 12% 1.1 11.0% 42.5 16.1% >14, ≤21 1,103 5% 1.8 12.3% 41.4 14.5% >21, ≤35 898 4% 2.7 12.9% 39.5 13.7% >35 528 2% 4.9 14.3% 37.5 11.5% Units Avg. strength (ABV) Avg. pence per unit % units on quantity discount • NHS guidelines for ‘hazardous’ drinking: – 14+ units per week (6+ in one session) for women – 21+ units per week (8+ in one session) for men • Our figures suggest 6 to 11% of households ‘hazardous’ on basis of average off-trade consumption © Institute for Fiscal Studies Outline structure • Background – data on alcohol intake, prices and affordability – brief recap on economic rationale for different reforms • Methods – dataset for analysis – descriptive evidence on alcohol purchasing behaviour – description of policy reforms analysed – assumptions about demand- and supply-side responses • Results – descriptive analysis of quantity discount ban – comparative analysis of effect of MUP and excise tax reform • Conclusions, limitations and future plans © Institute for Fiscal Studies Minimum unit price • Home Office has recommended a 45p MUP for England & Wales – policy currently under consultation • Scottish government has legislated for a 50p MUP – implementation delayed pending a legal challenge • We assess the impact of a 45p MUP across Britain – assume the 45p rate was applicable in April 2012 – assume rate uprated each year in line with excise duties – thus we actually simulate rates of 38p and 40p – change applies on 29 March 2010 when excise taxes rose © Institute for Fiscal Studies MUP affects majority of off-trade units Proportion of units below simulated MUP by alcohol type, 2010 90 % of units below MUP 80 70 60 50 40 30 20 10 0 Avg. pence per unit Cider Spirits Beer Wine Alcopops All 28.1 40.6 38.7 45.5 81.2 51.4 Source: Calculated from Kantar Worldpanel 2010 data. MUP applied is 38p, rising to 40p from 29/3/10. © Institute for Fiscal Studies Reforms to alcohol excise taxes • Excise taxes are specific, vary by alcohol type and strength – raise around £10 billion, just under 2% of receipts • Broad structure governed by EU Directive (92/83/EEC) – beer, spirits taxed by alcohol content – wine, cider taxed by volume of product (within strength bands) © Institute for Fiscal Studies Baseline alcohol excise tax structure, 2009/10 Excise duty per unit of alcohol (pence) Excise duty rate per alcohol unit, by type and strength 60 Wine Sparkling wine 50 Spirits and alcopops Beer 40 Cider 30 20 10 0 0 4 8 12 16 20 24 % ABV strength Source: Calculated from HMRC data. © Institute for Fiscal Studies 28 32 36 40 Reforms to alcohol excise taxes • Taxes do not look well-targeted on strong alcohol • We consider more radical reform in which tax is levied on alcohol content directly for all alcohol types • Examine three possibilities: – tax all units of alcohol equally – vary rate by type but not strength – vary rate by type, rate increases with strength Note: These rates applied before April 2010. We assume rates then rise in line with actual duties. © Institute for Fiscal Studies Reformed alcohol tax structures, 2009/10 Wine Sparkling wine Spirits and alcopops Beer Cider 60 50 40 30 Excise duty/unit (pence) Excise duty/unit (pence) Simulated excise duty rates per alcohol unit, by type and strength 20 10 0 60 50 40 30 20 10 0 0 4 8 12 16 20 24 28 32 36 40 0 4 8 12 Excise duty/unit (pence) 60 Wines and spirits 50 20 24 28 32 36 40 % ABV strength Beers, ciders and alcopops 40 30 20 10 Excise duty/unit (pence) % ABV strength 16 60 Wines and spirits 50 Beers, ciders and alcopops 40 30 20 10 0 0 0 4 © Institute for Fiscal Studies 8 12 16 20 24 % ABV strength 28 32 36 40 0 4 8 12 16 20 24 % ABV strength 28 32 36 40 Reforms to alcohol excise taxes • Taxes do not look well-targeted on strong alcohol • We consider more radical reform in which tax is levied on alcohol content directly for all alcohol types • Examine three possibilities: – tax all units of alcohol equally – vary rate by type but not strength – vary rate by type, rate increases with strength • The particular rates we choose are designed to achieve same aggregate reduction in units as the MUP simulation – impact across households and on revenues will differ • Aim is not to suggest these particular reforms are ‘optimal’ – want to compare to MUP on basis they achieve a common outcome © Institute for Fiscal Studies Quantity discount ban • Implemented in Scotland (off-trade) in October 2011 • Under consultation in England and Wales • Policy applies to: – quantity-based special offers (BOGOF, 3F2, 5% off 6 bottles, etc.) – bulk discount of given container size/brand combination (single 500ml can = £1, 24-pack ≥ £24) if smaller pack available in-store • Policy does not apply to: – price-based special offers (50% off), extra free offers – bulk discount across container sizes (2-litre bottle costs less than 21-litre bottle) • We describe importance of quantity discounts and large multipacks in alcohol purchases of each household © Institute for Fiscal Studies Outline structure • Background – data on alcohol intake, prices and affordability – brief recap on economic rationale for different reforms • Methods – dataset for analysis – descriptive evidence on alcohol purchasing behaviour – description of policy reforms analysed – assumptions about demand- and supply-side responses • Results – descriptive analysis of quantity discount ban – comparative analysis of effect of MUP and excise tax reform • Conclusions, limitations and future plans © Institute for Fiscal Studies Assumed responses to policy interventions • Demand-side – assume all consumers have alcohol price elasticity of -0.5 • central figure in Wagenaar et al. (2009) meta-analysis of 112 studies – calculate policy-induced change in avg. price for each household – apply elasticity at the household level – no wider demand-side responses • e.g. cross price effects between alcohol and other consumption • Supply side – assume firms are essentially passive – changes in excise tax are fully passed into final prices – prices below MUP are raised to threshold, no other price changes – no impact on product range, advertising and promotion etc. © Institute for Fiscal Studies Outline structure • Background – data on alcohol intake, prices and affordability – brief recap on economic rationale for different reforms • Methods – dataset for analysis – descriptive evidence on alcohol purchasing behaviour – description of policy reforms analysed – assumptions about demand- and supply-side responses • Results – descriptive analysis of quantity discount ban – comparative analysis of effect of MUP and excise tax reform • Conclusions, limitations and future plans © Institute for Fiscal Studies Multibuy deals in off-trade alcohol (% units) By purchase level and alcohol type, 2010 data Beer Cider Wine Fabs Spirits All ≤ 7 units 25.9 22.8 16.1 23.8 4.5 17.0 ≤ 14 units 24.6 18.7 17.1 23.6 4.4 16.1 ≤ 21 units 23.4 17.9 16.2 18.7 3.5 14.5 ≤ 35 units 21.9 17.5 16.3 19.1 3.3 13.7 > 35 units 17.7 22.1 14.4 14.5 2.3 11.5 All 23.4 20.2 16.0 22.0 3.5 14.6 Source: Calculated from Kantar Worldpanel © Institute for Fiscal Studies Multipacks in off-trade alcohol Average ‘items per pack’, by purchase level and alcohol type, 2010 data Beer Cider Wine Fabs Spirits ≤ 7 units 6.1 2.5 1.0 1.9 1.0 ≤ 14 units 6.8 2.8 1.0 1.7 1.0 ≤ 21 units 6.9 2.9 1.0 1.8 1.0 ≤ 35 units 7.2 2.8 1.0 1.7 1.0 > 35 units 6.2 2.5 1.0 1.6 1.0 All 6.5 2.7 1.0 1.8 1.0 Source: Calculated from Kantar Worldpanel © Institute for Fiscal Studies Typical ‘item size’ in off-trade alcohol Avg. bottle/can size (mls), by purchase level and alcohol type, 2010 data Beer Cider Wine Fabs Spirits ≤ 7 units 437 831 746 458 719 ≤ 14 units 443 1,077 788 495 762 ≤ 21 units 452 1,171 825 427 768 ≤ 35 units 449 1,409 874 457 795 > 35 units 455 1,513 1,000 457 853 All 445 1,126 828 460 778 Source: Calculated from Kantar Worldpanel © Institute for Fiscal Studies Quantity discount ban: key points • Policy seems badly-targeted: – heavy drinkers do not rely more heavily use of multibuys • have not yet looked at variation in type or ‘size’ of offers used – heavy drinkers do not buy larger multi-packs – heavy drinkers buy larger containers, but not affected by policy • Supply-side response means policy need not raise prices: – increase use of price discounts (£3.33 per bottle, not 3 for £10) – reduce price of small packages • both allow people to obtain lower unit price at lower quantity – could be beneficial – remove small packages from sale • limit ability to obtain small quantities – could be harmful © Institute for Fiscal Studies Outline structure • Background – data on alcohol intake, prices and affordability – brief recap on economic rationale for different reforms • Methods – dataset for analysis – descriptive evidence on alcohol purchasing behaviour – description of policy reforms analysed – assumptions about demand- and supply-side responses • Results – descriptive analysis of quantity discount ban – comparative analysis of effect of MUP and excise tax reform • Conclusions, limitations and future plans © Institute for Fiscal Studies Consumption response to reforms Average of household-level responses, by intake group Units per adult per week Avg. consumption change (%) ≤7 ≤ 14 ≤ 21 ≤ 35 >35 0 -1 -2 -3 -4 -5 -6 -7 -8 -9 -10 MUP Type-varying tax Single tax rate Type- and strength-varying tax Source: Calculated from Kantar Worldpanel. Note: excludes abstainers. © Institute for Fiscal Studies Distributional issues Effect on household grocery budgets, by income and intake group % increase in grocery budget 0.5 MUP Type-strength tax 0.4 0.3 0.2 0.1 0 < £10k < £20k < £30k < £40k < £50k < £60k Gross annual household income group Source: Calculated from Kantar Worldpanel. Note: excludes abstainers. © Institute for Fiscal Studies ≥ £60k Aggregate effects Baseline Off-trade units (bn) Alcohol spending (£ bn) Tax revenue duty+VAT (£ bn) Firm revenue (£ bn) 37.04 15.33 8.95 6.39 -2.40 +0.55 -0.29 +0.84 (-6.5%) (+3.6%) (-3.3%) (+13.2%) -2.39 +0.65 +1.04 -0.39 (-6.5%) (+4.3%) (+11.6%) (-6.0%) -2.41 +0.75 +1.15 -0.40 (-6.5%) (+4.9%) (+12.9%) (-6.3%) -2.40 +0.64 +0.98 -0.34 (-6.5%) (+4.2%) (+11.0%) (-5.4%) Change due to policy reform: MUP Single tax rate Type-varying tax Type-strength tax Source: Calculated from Kantar Worldpanel. © Institute for Fiscal Studies Summary of policy impacts • MUP equivalent to 45p in 2012 prices – average impact roughly 2bigger for heavy drinkers than light – mildly regressive – generates windfall of around £840m for industry – loss of around £290m in tax receipts (duty -£370m, VAT +£80m) • Excise tax reform targeting stronger alcohol – average impact roughly 3bigger for heavy drinkers than light – mildly regressive – reduces industry revenue by around £340 million – generates around £980m in tax receipts (duty +£890m, VAT +£90m) © Institute for Fiscal Studies Outline structure • Background – data on alcohol intake, prices and affordability – brief recap on economic rationale for different reforms • Methods – dataset for analysis – descriptive evidence on alcohol purchasing behaviour – description of policy reforms analysed – assumptions about demand- and supply-side responses • Results – descriptive analysis of quantity discount ban – comparative analysis of effect of MUP and excise tax reform • Conclusions, limitations and future plans © Institute for Fiscal Studies Conclusions • Quantity discount ban poorly targeted and may well have limited price effect – does not seem like a good policy • MUP often seen as more targeted than increase in excise duty • But reform of duty targeting strong alcohol even better-targeted – and would raise tax revenue rather than give industry a windfall • European dimension important … – EU Directive prohibits reform of alcohol taxes as we suggest – government should lobby for necessary reform to allow tax change – MUP legality under EU Directives? © Institute for Fiscal Studies Further analysis • Allow elasticity to vary across alcohol types and intake level – draw on literature and meta-analysis • relatively consistent variation by type (e.g. beer more elastic) • less clear how elasticities vary across intake group – estimate off-trade demand model using Worldpanel data • Relax assumption of passive firm responses – allow firms to re-optimise • wider price responses, product choices, advertising and promotion strategies – make particular assumptions or try to model explicitly © Institute for Fiscal Studies